The workes of that famous chirurgion Ambrose Parey translated out of Latine and compared with the French. by Th: Johnson

CHAP. XXIII. What other remedies shall be used to Caruncles occasioned by the Lues venerea.

BUT if you suspect that these Caruncles come or are occasioned by a vi∣rulent humour, or the malignity of the Lues venerea, it is meet that the * 1.1 patient observe such a diet as usually is prescribed to such as are troubled with the Lues venerea; let him use a decoction of Guajacum, and let the perinaeum and the whole yard bee anointed with ointment made for the Lues venerea; otherwise the Surgion will lose his labour. In the interim whilest hee shall sweat in his bed, he shall bee wished to hold betweene his legges a stone bottle filled with hot water, or else a hot bricke wrapped in linnen cloathes, moistened in vinegar and aqua vitae; for thus the heat and vapour will ascend to the genitalls, which, together with the helpe of the applyed ointment, will dissolve the matter of the Caruncles, and being thus softened, they must be consumed with con∣venient * 1.2 medicines. Wherefore first if they become callous, or cicatrized (which you may suspect if they cast forth no excrementitious humidity) they shall be exas∣perated, excoriated and torne with a leaden Cathaeter having a rough button at the end like a round file. He shall so long use the Cathaeter put into the Urethra, thrusting it up and downe the same way so long and often as hee shall thinke fit for the brea∣king and tearing the Caruncles, hee shall permit them thus torne to bleed freely, so to ease the affected part. You may also for the same purpose put into the Urethra the Cathaeter marked with this letter B. whereinto putting a silver wiar sharp at the upper end, that by often thrusting it in and out, it may wear and make plain the resisting ca∣runcles. Verily by this meanes I have helped many much perplexed with the feare∣full danger of this disease. Some better like of the Cathaeter marked with the letter A. being thus used: it is thrust into the Urethra with the prominent cutting sides downewards, and then pressing the yard on the outside close with your hand to the Cathaeter in the place where the Caruncles are, it is drawn forth againe.

[illustration]

Cathaeters fit to weare asunder, or teare Caruncles.

A. sheweth the Cathaeter with the inserted silver wiar, but not hanging forth thereat.

B. sheweth the Cathaeter with the inserted silver wiar hanging forth at the end.

The thus torne Caruncle shall bee strawed over with the following pouder, being very effectuall to waste and consume all Caruncles of the privities without much paine. ℞. herb. sabin. in umbra exsiccat. ʒ ii. ocrae, antimon. tuth. praparat. an. ʒ ss. fiat * 1.3 pulv. subtilissimus, let it bee applyed in the following manner. Put the powder into

the pipe or Cathaeter having holes in the sides thereof, the which is the lowermost of the last described. Then put the Cathater into the urenary passage untill the slit or opennesse of the side come to the Caruncle, then into the hollownesse of the Cathae∣ter put a silver wiar, wrapped about the end with a little linnen ragge, which as it * 1.4 is thrust up, will also thrust up the pouder therwith, untill it shall come to the slit a∣gainst the caruncle, then will it adhere to the caruncle, bloody by reason of the late attrition. Then shall you draw forth the Cathater, first twining it about, that so it may not scrape off the pouder againe. If intollerable paine hereupon happen, it shall bee asswaged, and the inflammation restrained by the following injection. ℞. succorum * 1.5 portulacae, plantag. solani, & sempervivi, an. ℥ ss. album ovorum, nu. vi. agitentur diu in mortario plumbeo; let it be injected warme into the urethra with a syringe. In stead hereof you may also make use of another injection, which is formerly prescribed. Neither will it be unprofitable to apply repercussives to the genitalls, to hinder pain and inflammation. You may also use other medicines, having a faculty to consume * 1.6 the Caruncle, amongst which these following are excellent. ℞. viridis aeris, auripig∣menti, vitriol. Rom. aluminis roch. an. ℥ ii. infundantur omnia in acet. acerrimo, atque inter duo marmora in pollinem redigantur: then let it be exposed to the summer sunne, and dryed, againe infused in sharp vinegar, and then as before grownd upon a mar∣ble, so that you shall finde nothing sharpe with your fingers; lastly let it be opposed to the sunne untill it may bee made into most subtle pouder, and all the acrimony be vanished, which will be commonly in eight dayes space. Then, ℞. ol. rosat. ℥ iv. lythargyri ℥ ii coquantur ad ignem, quousque coiërint in emplast. solidae consistentiae, ab ignetum semotis, adde pulv. praedict. ℥ ii. let them bee mixed with a spatula, and put upon the fire untill it come to so hard a consistence, that it will sticke to a waxe can∣dle, or lead wiar, so that it may not come off by handling with your hands. The Sur∣geons of Mantpelier, use this medicine: This following is another, ℞. tuthiae prae∣par. * 1.7 ʒ vi. antimonii, ʒ iii. trochisc. alborum, Rhas. camphorat. ʒ i. corticis granati, alu∣minis usti, an. ʒ i ss. spongia ustae, ℈ ii. let them all be made into pouder: then, ℞. ung. diapo ••pholigos, & alb. Rhasis, an. ℥ ii. misceantur cum praedictis pulveribus in mortario plumbeo, & diu agitentur: let a very fine ragge bee spread over with this ointment, * 1.8 and wrapped about a waxe candle, and so thrust into the Urethra, and then draw forth the candle againe by twining it a contrary way; so let the end of the ragge hang out of the yard, so to plucke it forth againe, when as you shall thinke it hath done what it can to the Caruncle, which is, when it hath covered it with the medicine with which it was spread. Some also make waxe candles with a slender, but stiffe weeke, whose end, which is to be put to weare and consume the Caruncle, is compo∣sed of the following medicine. ℞. emplastri nigri, vel diachylonis ireati ℥ ii. pul. sabi∣nae, ocrae, vitriol. Rom. calcin. pul. mer. an. ʒ ss. omnia liquescant simul ad dictum usum. Whilest the cure shall bee in hand by these following medicines, let the patient bee carefull that he so shake his yard after making water, that he may shake forth all the * 1.9 reliques of the urine which may chance to stoppe at the Caruncles; for if but one droppe should stay there, it would be sufficient to spoile the whole operation of the applyed medicines. After that the Caruncle shall bee worne away and wholly con∣sumed by the described medicines, which you may know by the urine flowing forth * 1.10 freely, and in a full streame, and by thrusting up a Cathaeter into the bladder with∣out any stoppage; then it remaines that the ulcers be dryed & cicatrized; for which purpose the following injection is very powerfull and effectuall, and without any acrimony. ℞. aq. fabrorum lb ss. nuc. cupress. gallar. cort. granat. an. ʒ i ss. alum. roch. ʒ ss. bulliant omnia simul secund. art. so make a decoction for an injection, which you * 1.11 shall use so long, untill no excrementitious humidity distill out of the yard. The fol∣lowing pouder dryes more powerfully, and consequently hastens forwards cicatri∣zation, and it is also without acrimony. ℞. lapidem calamin. lotum, test as over ••m ust as, corallum rubrum, corticom granat. comminue omnia in pollinem; let this pouder be used to the ulcers, with a waxe candle joyned to some unguentum desiccativum rubrum, or some such like thing. Also strings or rods of lead thrust into the urethra as thicke as the passage will suffer, even to the ulcers, being first be smeared with quicksilver, * 1.12 and kept in day and night as long as the patient can endure, are good to be used. For

they dry by their touch and cicatrize, they dilate the urenary passage without paine, and lastly hinder the sides of the ulcer from corrupting one another.

Notes

• * 1.1

  Particular de∣faults of the Lu∣es 〈◊〉〈◊〉 not to be cured unlesse by the generall∣remedy of the viruleney.
• * 1.2

  Caruncles if callous, must first be softened.
• * 1.3

  A pouder to waste carun∣cles.
• * 1.4

  How to apply it.
• * 1.5

  An injection to hinder inflam∣mation.
• * 1.6

  An emplaster used by the Surgeons of Monipelier for Caruncles.
• * 1.7

  Another em∣plaster.
• * 1.8

  How to apply it.
• * 1.9

  A caution 〈◊〉〈◊〉 making water.
• * 1.10

  Signes that the Caruncle is worne away.
• * 1.11

  An epuloticke injection.
• * 1.12

  Quicksilver by drying causeth cicatrication.